The Department of Health and Human Services contract for the by tracy13

VIEWS: 30 PAGES: 32

									SUBJECT: The Department of Health and Human Services contract for the development of a Metropolitan
Medical Response System.

SUMMARY: The Department of Health and Human Services has awarded the City of Orlando, Office of
Emergency Management, and an additional Grant in the amount of $280,000. These funds are to further the
development, and planning efforts for the Metropolitan Medical Response System (MMRS). This is
modification number 3 to original contract #233-02-0031 (accepted and approved by the City Council on
6-3-02) for the initial amount of $400,000. Modification number 2 was accepted and approved on (9/15/03)
for the amount of $200,000.
DEPARTMENT OF HEAL m & HUMAN SERVICES Progr:arn S~port Center
DiVIsion of Acquisition Management, AOS

Room 5-101, Parklawn Building 5600 Fishers Lane
Rockville, MD 20857

September 29, 2003

Mr. Manuel D. Soto, CEM Emergency Manager
Orlando Operations Center City of Orlando
110 N Andes Avenue Orlando, FL 32803

Dear Mr. Soto:

Enclosed is Modification Number 3 to Contract Number 233-02-0031 This modification is issued
unilaterally. You are authorized to begin work immediately. You are not required to sign
this modification but please acknowledge its receipt by e-mail to: mtrotter@Dsc.qov.

You are requested to review the Statement of Work and Schedule of Deliverables and provide
this office with an original and two copies of a technical and cost proposal (budget) .

Please provide this office with your proposals no later than October 29, 2003. Once
discussions are completed, a modification finalizing the award will be forwarded for your
signature.

If any additional information is required, please contact me on (301) 443-1658.

Sincerely yours,


~,,1;tLlu Michele Trotter Contracting Officer



Enclosure
1. CONTRACT 10 C00E PAGES AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 12 2. AMENOMENT/MOOIFICATIONNO. !3.EF,{~~AAE 14. REQUISITION/PURCHASE REO. NO. 5.
PROJECTNO. a a MODIFICA110N # 3 i \jtr Z ~ 2003 000135




6. ISSUED BY


DHHS/Program Support Center
Division of Acquisiton Management, AOS 5600 Fishers Lane
Parklawn Building, Room 5-101 Rockville, MD 20857
8. NAME ANO ADDRESS OF CONTRACTOR (No., SI1eet. aJUtty, State, and ZIP Code) -00- 9A. AMENDMENT OF SOLICIT A noN NO. City of Orlando P.O. Box 2846
Orlando, FL 32802-2846




CODE

17. ADMINISTERED BY (If oIlIer than Item 6)

0MB No.0990-0115


CODE

198. DATED(SEEln:Mll}

1OA. MODIFICATION OF CONTRACT/ORDER NO. 233-02-0031



11OB.-~~.~~~em 13) 06/13/2002


11. THIS ITEM ONL y APPUES TO AMENDMENTS OF SOUCIT A TIONS

O The above numbered solicitation Is amended as set forth in Item 14. ThEI hour and date specifled for receIpt of Offers O Is extended. O Is not extended. Offers must adlnowledge receipt
of this amendment prior to the hour and date specified In the soiicilatiim or as amended. by one of the following methods:

(a) By completing Items 8 and 15, and returning -copies of the amendment; (b) Byacknow\edging receipt of this amendment on each copy of the otter submilted; or (c)
By separate letter or telegram whIch indudes a reference to the solicitation lind amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE
DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER If by virtue of this amendment you
desire to change an offer already submitted. such change m.'1y be made by telegram or letter , provided each telegram or letter makes reference to the solicitation and thls amendment, and
is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (IfreqllWed) Appro. No.: 7030700


CAN: H974438

OBI. Class: 2S2Z

$

280,000.00

13. THIS ITEM APPLIES ONL y TO MODIFICA TroNs OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRA<..I/ORDER NO. AS DESCRIBED IN ITEM 14.
x A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify a~ THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.
X Unilateral FAR 52.243-1 Changcs-Fixed Price (AUG 1987) Altcmate I (APR 1984)

IN ITEM 14, PURSUANT TO THE AUTHORfTY OF FAR 43.103(b).



rc. THIS SUPPlEMENT AL AGREEMENT IS ENTERED INTO PURSUANT TO Al1THOR~


I D. OTHER (Spea'fy type of nX)cf6ca/bl and authority}


I:. IMPORT ANT: Conbador IXI is not, O Is required to sIgn thIs document and return

copies to the issuing office.


14. DESCRI~ON OF AMENDMENT/MODIFiC:A TION (Qpanized by UCF S8dDl---;;---eadings, incJ;;/jiiv so/ic6atkXJ/(X)II/ract subjed matter wIIet8 feasiO'e.} See attached pages.
Modification Number 3 Contract Number 233-02-0031

Page 2 of 12

The purpose of the above referenced modification is to add item 13 to the
payment schedule, statement of work, and delivery schedule as follows:

1.

2.

3.

Section B -Supplies and Services and Prices/Costs, B.l. Consideration, the
following item is added:

ITEM

AMOUNT OF PAYMENT

#1 Inventory of Capability Report

$ 50,000


#2 Sustainment Plan

$150,000

#3 Submit an Operational Verification Report and SOW #4 Document MMRS
Expansion Efforts (Optional}

$ 80,000


Section C -Description/Specification/Work Statement, 3. Statement of Work,
item 11 is deleted in its entirety and replaced with the following:

11.

Provide monthly progress reports that describe activities undertaken the
previous month and the progress of contract deliverables, as provided, below.
By the fifteenth (15th) of each month, these reports shall be sent to the
Program Support Center (PSC) Contracting Officer, and to the Project Officer,
Emergency Preparedness and Response Directorate, U.S. Department of Homeland
Security. These reports shall describe successful endeavors and encountered
barriers Any barrier encountered shall be accompanied with a plan to resolve
the issues. Include all meeting minutes that relate to MMRS development.

Section C -Description/Specification/Work Statement, Statement of Work, the
followi!}9 item 13 is added:

3.

NOTE: 14
These deliverables will be compared to the Statement of Work (SOW)
requirements listed below, and as articulated in the attached Evaluation
Instrument (Appendix E) and Template (Appendix F) .
Modification Number 3 Contract Number 233-02-0031

Page 3 of 12

13.

Submit an inventory of capabilities (Deliverable 1) . This report shall
constitute an inventory of response capabilities (existing, enhanced and
expanded) that are a result of your MMRS planning, equipping, training,
and exercising efforts. This report shall discuss your response capabilities
such as system linkages, personnel, and enhancements or increases in response
area coverage. Additionally, this report shall
identify all equipment and pharmaceuticals that you currently have available
to respond to a WMD event. Multiple funding sources shall be identified as
well as the assets acquired from each source. Note: Include equipment and
pharmaceuticals funded/procured from MMRS contracts, DOJ grants, DHHS
grants, DOD grants, FEMA grants, DHS and State/local purchases. Present the
equipment and pharmaceutical information in a spreadsheet format that
identifies your assets and sources. This report shall be based on your MMRS
planning components and identify additional assets/requirements that you
expect the Federal Government to provide (e.g., the SNS, NDMS resources, etc.)
and additional health care professionals required to implement a local mass
casualty/surge care response to a WMD event.

This MMRS inventory of capabilities should also incorporate:

.

.

the activities of other applicable Federal programs. If this MMRS inventory
of response capabilities does not incorporate such Federal programs, an
explanation should be provided describing the obstacles and challenges
preventing coordination with existing MMRS capabilities, and this
explanation should also provide recommendations on how to resolve these
obstacles and challenges.
the activities ofapp~icable State/regional response programs, including, but
not limited to: alert and notificqtion protocols, threat event assessments,
available resources and current intra-State and inter-State working
agreements,
the identification of Statewide training, etc. If this MMRS inventory of
response capabilities does
Modification Number 3 Contract Number 233-02-0031

Page 4 of 12

.

not incorporate such State/regional programs, an explanation should be
provided describing the obstacles and challenges pI~eventing
coordination with existing MMRS capabilities, and this explanation
should also provide recommendations on how to resolve these obstacles
and challenges.
a description of the geographical area included in MMRS planning and
preparedness, including mutual- aid and other cooperative agreements
for the existing, enhanced, or expanded MMRS
jurisdictiona:l area. This description can be subdivided by functional
capability, as required. For example, the MMRS hospital planning and
preparedness ~}eographical area may extend beyond the geographi(~al
planning area for other WMD functional response capabilities. The
intent of this descript:Ldn is to incl.ude neighboring jurisdictions,
as appropriate (even if such planning areas expand prior MMRS
jurisdictional planning areas) .MMRS jurisdictions are encouraged to
define not only existing planning areas, but also to consideJ:"
expanding planning and preparedness needs, as necessary.

Submit a Sustainment Plan (Deliverable 2} .This Sustainment Plan should
include estimates of the resources (human and material} necessary to sustain
and enhance MMRS activities in your MMRS jurisdictional
area for a period of two years. The first year should correspond to Federal
fiscal year 2004 (October 1, 2003 through September :~O, 2004) .The second
year should correspond to Federal fiscal year 2005 (October 1, 2004 through
September 30, 2005) .

The first year is :Lntended as the sustairiment execution year -when you wi:ll
pX"ocure, utilize, and implement sustainment activities and resources. The
second year is intended as the sustain~ent planning year where you should
project your jurisdiction's sustainment needs and provide information needed
for national MMRS program planning.

There are four broad categories to include in this Sustainment Plan: Response
Plan Maintenance,
Modification Number 3 Contract Number 233-02-0031

Page s of 12

Pharmaceuticals/Equipment Cache Maintenance, Training, and Exercises. The
discussion for the Sustainment Plan should reference yo,ur MMRS planning
components as the basis for your planned sustainment efforts. The Sustainment
Plan discussion should include, in detail, the new and increased costs
incurred to support a MMRS jurisdiction's existing WMD response capabilities.
These costs should be identified as increases in units of resources (such as
for equipment, personnel hours, training material, etc) .Additionally, this
Sustainment Plan should include a discussion, by category, that explains, in
detail, for each line item, the total amount of projected funding required
to sustain existing MMRS capabilities for the period of two years.

Many jurisdictions have received resources from local, State and Federal
s'ources. Your jurisdiction may have received funding fr,om some or all of
these program sources for your WM:D planning and preparedness efforts
Ultimately, these r,esources were integrated in support of your MMRS planni:ng
components. In your Sustainment Plan, these local, ;State and Federal
resources should be identified, by p:rogram, and included, in a spreadsheet
format, as an attachment to this Sustainment Plan. The following information
should also included in this Sustainment Plan deliverable:

A.

A discussion OJrl the ongoing process of preserving integrated MMR:S planning
activities, including expanded effor:ts to incorporate new partnerships. This
discussioJrl should include:

.

.

frequency and cost of existing and expanded steering I~ommittee meetings with
an updated membershi]9 roster (e .g. , existing and potential:ly expanded
participation) ; frequency, cost ?nd methods you will use to update and
integrate your M{\I1RS planning component :3 into your jurisdiction's and your
State's emergency operations plans and related dcJcuments (including
mutual-aid agreement:3, etc.) and any additional planning
Modification Number 3 Contract Number 233-02-0031

Page 6 of 12

B.

c.

.

.

.

efforts you identify as required to specifically sustain your MMRS; and
an updated budget showing estimated vs. actual expenditures of original MMRS
funds (e.g., $600,000, special project funding, etc.) and
information on individual salaries needed to support this SOW; and
any additional planning efforts you identify as required to specifically
maintain, enhance, or expand the MMRS.

The Sustainment Plan should clearly identify the expenses, above prior
existing response programs (e.g., USAR, HazMat, etc.) to procure and sustain
MMRS pharmaceutical and equipment needs and a two- year phased approach to
maintaining and rotating these supplies (e.g., including chain-of-custody
costs, etc.) .In particular, this discussion should:

.

.

include reference to your MMRS planning components and a discussion of methods
you have implemented, or you propose to
implement, that reduce the cost burden of pharmaceutical rotation; and
in the event of a bioterrorism event, include those planning and response
capabilities, and applicable costs, required to support the effective receipt
and distribution of Strategic National Stockpile (SNS) commodities.

In the training category, your MMRS training plan components shall be
referenced for proposed sustained training methods. Discussion
considerations shall be given to the applicability of your proposed
Sustainment Plan to two broad sub-categories: ongoing training and exercises.
Within the ongoing training category, include a plan to address the continuous
turnover of personnel and the attendant requirements to maintain a cadre of
trained personnel from all agencies. The scope of personnel trained to
Modification Number 3 Contract Number 233-02-0031

Page 7 of 12

support and sustain your MMRS planning and preparedness activities shall
include public health agency staff, community public affairs personnel,
health care providers, first responders, emergency management personnel, and
others (as applicable) .

When discussing the sustainment of exercises, information should be provided
on the frequency, type of exercise(s), and any innovative methods that you
have developed to support your exercise program. Your discussion should
clearly identify the incremental costs that exercising the MMRS would incur
above existing required exercise programs for your response community: e.g.,
first responders, health care providers, hospitals, public health officials,
emergency managers, and others (as applicable), etc. Other community- based
exercises may be referenced when discussing the sustainment of exercises.
For example, the Community Hazards Emergency Response Capability Assurance
Program (CHER-CAP) , formerly the Comprehensive HazMat Emergency Response
Capability Assessment Program, can be utilized to support the MMRS Program.
CHER-CAP Program methodologies may assure and validate MMRS and MMRT
capability enhancements and key program components including, but not limited
to: activation/notification procedures, a Concept of Operations Plan, a
Bioterrorism Plan, specially trained responders and equipment, public
information, coordination protocols, customized pharmaceuticals, plans for
the prophylaxis of an affected population, etc.

Your Sustainment Plan shall include an appendix (Appendix F is included as
an example) that contains a two-year planning template. Each jurisdiction
has app~Qached MMRS planning from a unique perspective; this template is to
be considered as a minimum example and shall be adjusted according to
individual MMRS needs.

Submit an Operational Verification Report (Deliverable 3) .The Operational
Verification Report should
Modification Number 3 Contract Number 233-02-0031

Page 8 of 12

reference your MMRS planning components, and should describe how your MMRS
shall manage the coordination of response to a biological WMD event, including
BioWatch sensor reports for those jurisdictions which have this capability,
and provide examples supporting that your biological plan has achieved
operational capability. This report should also provide detailed documentation
citing examples supporting the statement that your MMRS has achieved an
operational response capability to a chemical, biological, radiological,
nuclear and high explosive WMD event(s) .Your examples may include full-scale
exercises, tabletop exercises or actual response activities (e.g. , HazMat
incidents, surge care/mass casualty events) that demonstrate an MMRS planning
component operational capability. Your Sustainment Plan (Deliverable 2) should
support a continued assessment of this operational capability.

Document MMRS Expansion Efforts (Deli verable 4 ; Optional) .Contract funding
is available to support operational area expansion of current MMRS
jurisdictions incorporating additional, contiguous jurisdictions within their
MMRS planning, preparedness and response geographical area and for WMD
planning, preparedness and response initiatives with State/regional
governments/organizations. This "regional" approach is a hallmark of the MMRS
Program and achieves efficiency and economy by providing protection for a
greater at-risk population, and by incorporating more highly trained response
personnel (e.g., hospitals, etc.) and special-purpose resources (e.g.,
pharmaceuticals, equipment, etc.) .Some States have already achieved, or are
initiating efforts to achieve, State-wide/MMRS planning and preparedness. To
complete this deliverable, the documentation for MMRS area expansion efforts
should include:

.

.

Name(s) of new jurisdiction(s) to be incorporated in""MMRS planning and
preparedness;
Name, title, and contact information (e.g., daytime telephone number, mailing
address and email address, etc.) for a point-of-contact by each added
jurisdiction;
Modification Number 3 Contract Number 233-02-0031

Page 9 of 12

.

.

.

.

.

A statement from both the existing MMRS jurisdiction and the new "partnering"
jurisdiction(s) that they are both committed to achieving this expanded MMRS
planning and preparedness area;
A statement detailing the assistance to be provided by the existing MMRS
jurisdiction to the "partnering" MMRS jurisdiction (s) and the assistance to
be provided by the "partnering" MMRS jurisdiction(s) to the existing MMRS
jurisdiction (e.g., the resources each jurisdiction will commit, to include,
but not be limited to: first responder units,
medical treatment facilities, emergency management/emergency operation
center
support, qualified specialists, planning and preparedness development and
maintenance, joint training/exercises, etc.) ;
A statement that mutual aid/mutual assistance agreements exist, or that they
will be developed, to provide for first responder and medical treatment
personnel reciprocity and liability protection;
A statement that the plans, policies, and procedures of the expanded
operational area will be compatible with the Department of Homeland Security
National Incident Management System; and
A two-year estimate of MMRS program costs for (a) the parent jurisdiction and
(b) the new "partnering" jurisdiction (s) for achieving WMD operational
capabilities in the
designated expanded MMRS planning and preparedness area.

If discussing MMRS existing jurisdictional expansion and State capability
enhancement, this deliverable should include:

.

.

Name(s) of new State jurisdiction(s) and
State organizations to be incorporated in MMRS planning and preparedness;
Name, title, and contact information (e.g., daytime telephone number, mailing
address and
Modification Number 3 Contract Number 233-02-0031

Page 10 of 12

4.

5.

.

.

.

.

email address, etc.) for a point-of-contact by each added State jurisdiction
and State organization;
A statement describing the scheduled activities and expected outcomes in the
first year of cooperative engagement;
A two-year cost estimate to include the new State jurisdiction(s) and State
organization(s) planning and preparedness; A statement that the plans,
policies, and procedures developed will be compatible with the Department
of Homeland Security National Incident Management System;
A statement that the State jurisdiction(s) and State organization(s) will
comply with Department of Homeland Security, and other Federal Government
guidance regarding communications interoperability,
chemical/biological/nuclear/radiological detection and identification
protocols, and other operational capability enhancement activities.

Duplication of Federal Benefits

Jurisdictions are advised that there is to be no duplication of Federal
benefits in executing these MMRS contracts. No other Federal funding,
from the Department of Homeland Security, or any other Federal
executive branch entity, may be used to pay for the same services and
commodities paid for under this contract.

Section F -Deliverables or Performance, Performance will be changed as
follows:

F.l. Period of

The period of performance fOr this contract shall be May 24, 2002,
through November 24, ~005, unless extended by modification.

Section F -Deliverables or Performance, F.2. Reporting Requirements and
Deliverables the following item 11 is deleted in its entirety and replaced
with the following:
Modification Number 3 Contract Number 233-02-0031

Item Description

Page 11 of 12

Ouanti!;y

Due Date

11.

Progress Reports(This should be brief monthly status report)

3*

15th day of each month


6.

*Provide electronic versions {disk, CD, or email


NOTE:

All deliverables shall contain the number of the contract.

One copy of all deliverables shall be furnished to Mr. Dennis Atwood, Project
Officer, Metropolitan Medical Response System Program, Preparedness Division,
Emergency Preparedness and Response Directorate, U.S. Department of Homeland
Security, 500 C Street, S.W., Washington, D.C. 20472. Mr. Atwood may be reached
by e-mail at: mmrsadmin@fema.qov.

One copy of all progress reports and the final report shall be furnished to
Michele Trotter, Contracting Officer, AOS/PSC/DHHS, 5600 Fishers Lane, Room
5-101, Rockville, MD 20857. Ms Trotter may be reached by e-mail at:
mtrotter@o§c.qov.

Section F -Deliverables or Performance, F.2. Reporting Requirements and
Deliverables the following item is added:

Item Description

13

SOW #1 Inventory of Capability Report

SOW #2 Sustainment Plan (Includes Planning Template)
SOW #3 Submit an Operational Verification Report

Ouantitv

2

2

2

SOW #4 Document MMRS Expansion Efforts (Optional)

2

Due Date

45 days

120 days

270 days

270 days
Modification Number 3 Contract Number 233-02-0031

7.

Section J -List of Attachment, as follows:

Page 12 of 12

Item 3, Appendix E is added

8.

9.

10.

4.

Appendix E -Two-Year Sustainment Planning Evaluation Instrument for Item 13
Section J -List of Attachment, as follows:

Item 4, Appendix F is added

s.
Appendix F -


Sustainment Template

The total contract amount is increased from $600,000 by $280,000 to $880,000.

All other terms and conditions remain the same.
Appendix

E




      Two-Year
     Sustainment
          Planning
         Evaluation
         Instrument
Jurisdiction Evaluated:
Deliverable # 1: Assessment of Capability

Reference: SOW #1

Submit an inventory of cacabilities.

To complete saw #1 I DHS requires a report that constitutes an inventory of MMRS response
capabilities (existing, enhanced and expanded) that are a result of your MMRS planning,
equipping, training and exercising efforts.

Specifically. this report should include a discussion on:

1.02

1.06

D

D

Response capabilities, such as system linkages and personnel.

Enhancements or increases in response area coverage.

D The identffication of all equipment and pharmaceuticals that you currently have available to respond
to a WMD event. This information should be provided in a spreadsheet format that identifies assets
acquired from multiple funding sources: e.g. equipment/pharmaceuticals purchased/procured from
MMRS contracts, DoJ grants, DHHS grants, DoD grants, FEMA grants, DHS allocations and
State/local and State/local purchases.

D The identification of additional assets/requirements that you expect the Federal Government to
provide (e.g., the SNS, NOMS resources) and any additional health care professionals required to
ir1nplement a local mass casuaJty/surge care response to a WMD event.

D The activities of other applicable Federal programs (Note: if this MMRS inventory of response
capabilities does not incorJ:)orate such Federal programs, an explanation should be provided
describing the obstacles and challenges preventing coordination with existing MMRS capabilities, and
this explanation should also provide recommendations on how to resolve these obstacles and
challenges).

D The activities of applicable State/regional response programs, including but not limited to: alert and
notification protocols, threat event assessments, available resources and current intra-State and
inter-State working agreements, the identification of Statewide training, etc. If this MMRS inventory of
response capabilities does not incorporate such State/regio,nal programs, an explanation should be
provided describing the obstacles and challenges preventing coordination with existing MMRS
capabilities and recommendations should be provided that intend to resolve these obstacles arId
challenges.

2
1.07

D The identification. including a description. of the geographical area included in MMRS planning and
preparedness. including mutual-aid and other cooperative agreements for the existing. enhanced, or
expanded MMRS jurisdictional area. (Note: this description can be subdivided by functional
'capability. as required. For example, the MMRS hospital planning and preparedness geographical
area may extend beyond the geographical planning area for other WMD functional response
capabilities. The intent of this descrip1ion is to include neighboring jurisdictions, as appropriate. even
if such planning areas expand prior MMRS jurisdictional planning areas. MMRS jurisdictions are
encouraged to define not only existing planning areas. but also to consider expanding planning and
preparedness needs. as necessary.)

Deliverable # 2: A Completed One -Year MMRS Sustainment Plan
Reference: SOW #2.

Response Continuation Plan Maintenance.

To complete SOW #2, DHS requires a plan, with estimates of the resources (human and material)
necessary to sustain MMRS planning activities in your MMRS jurisdictional area for a period of two
years. The first year should correspond to Federal fiscal year 2004 (October 1, 2003 through
September 30, 2004). The second year should correspond to Federal fiscal year 2005 (October 1,
2004 through September 30, 2005).

The first year is intended as the sustainment execution year -when you will procure, utilize, and
implement sustainment activities and resources. The second year is intended as the sustainment
planning year and is where you should project your jurisdiction's sustainment needs and provide
information needed for national MMRS program planning.

There are four broad categories to include in this MMRS Sustainment Plan: Response Plan
Maintenance. Pharmaceuticals/Equipment Cache Maintenance. Training and Exercises. The
discussion for the Sustainment Plan should reference your MMRS planning components as the basis
of your planned sustainment efforts. The Sustainment Plan discussion should include, in detail, the
new and increased costs incurred to support a MMRS jurisdiction's existing WMD response
capabilities. These additional costs should be identified as increases in units of resources (such as
for equipment, personnel hours. training material. etc). Additionally. this Sustainment Plan should
include a discussion, by category that explains, in detail, for each line item, the total amount of
projected funding required to sustain existing MMRS capabilities for the period of two years. .

Many jurisdictions have received resources from local, State and Federal sources. Your jurisdiction
may have received funding from some or all of these program sources for

3
your WMD planning and preparedness efforts. Ultimately, these resources were integrated in
support of your MMRS planning components. In your Sustainment Plan, these local, State and
Federal resources should be identified, by program, and included, in a spreadsheet format, as an
attachment to this Sustainment Plan.

A. -The Sustainment Plan should also contain a discussion on the ongoing process of preserving
integrated MMRS planning activities, including expanded efforts to incorporate new partnerships
This discussion should include:

D The frequency and cost of existing and expanded steering committee meetings with an updated
membership roster (existing and expanding participants).

D The frequency, cost and methods you will use to update and integrate your MMRS planning
components into your jurisdiction's and your State's emergency operations plans, and any
additional planning efforts you identify as required to specifically sustain your MMRS.

D An updated budget showing estimated vs. actual expenditures of original MMRS funding (e.g.,
$6001000.00, special project funding, etc.).

D

Information on individual salaries needed to support this SOW,

D Any additional planning efforts you identify as required to specifically maintain, enhance, or
expand the MMRS.

B. The Sustainment Plan should clearly identify the expenses, above prior existing response
programs (e.g., USAR, HazMat, etc.) to procure and sustain MMRS pharmaceutical and equipment
needs and a two-year phased approach to maintaining and rotating these supplies (e.g., including
chain-of-custody costs, etc.). This discussion should also include:

2.06

D Methods you have implemented, or methods you propose to implement. that reduce the cost
burden of pharmaceutical rotation, with specific attention to:

Phamlaceuticals
D Doxycycline
D Ciprofloxacin D 2 PAM
D Repacking bottles for tablets D Mark J Trainer Kits
D Mark I Kits .. D Valium
D Atropine
D Diazepam Auto Injector

ii
DDD
Thermo Luminescent Dosimetry Badge Thyroid Blocker
Other (please document)

2.07

EQuipment
D Decon Equipment D PPE
D SurveilIance/agent ID (test strips) D Warranty
D Other (please document)

D Identify those planning and response capabilities, and applicable costs, required to support the
effective receipt and distribution of Strategic National Stockpile (SNS) commodities.

c To sustain training, the Sustainment Plan should reference your MMRS training plan components
for proposed sustained training methods. Discussion considerations should incorporate two broad
sub-categories: ongoing training and exercises. Within the training category, your discussion should
include: .

D A plan to address the continuous turnover of personnel and the attendant requirements to maintain a
cadre of trained personnel from all agencies.

D The scope of personnel trained to suppoli and sustain your MMRS planning and preparedness (to
include public health agency staff. community public affairs personnel, community health care
providers. first responders, emergency management personnel, and others, as applicable).
Specifically:




HazMat Tech
Emergency Medical Technician-
NBC/WMD detection/monitoring equipment Self-contained breathing apparatus Chemical protective
clothing Firefighter Academy Police Academy CPR certification
First Aid certification Confined space Safety Officer
Appropriate medical training (M.D., R.N., Paramedic, etc) Hospital
Law enforcement
Incident Command PIC
Bomb Squad

5
D

Other

2.11

D Information on the frequency, type of exercise{s), and other innovative methods that you
have developed to support your exercise program.

-D Identification of the incremental costs that exercising the MMRS would incur above existing
required exercise programs for first responders, health care pro'liders, hospitals, public health
officials, emergenC'.f managers, and others, as applicable. Other community-based exercises may
be referenced when discussing the sustainment of exercises. For example, the Community Hazards
Emergency Response Capability Assurance Program (CHER-CAP), formerly the Comprehensive
HazMat Emergency Response Capability Assessment Program, can be utilized to support the
MMRS Program. CHER-CAP Program methodologies may assure and validate MMRS and MMRS
capability enhancements and key program components including, but not limited to:
activation/notification procedures, a Concept of Operations Plan, a Bioterrorism Plan, specially
trained responders and equipmerrt, public information, coordination protocols, customized
phanT1aceuticals, plans for the prophylaxis of an affected population; etc.

D

Completion of a two-year planning template.

(Note: Attachment F is included as an example template. Each jurisdiction has approached
MMRS planning from a unique perspective; this template is to be considered as a minimum
example, adjusted according to individual MMRS needs. }

Deliverable # 3: Operational Verification
Reference: sow #3.


To complete SOW #3, DHS requires you to submit a report, referencing your MMRS planning
components that describes how your MMRS manages the coordination of a response to a
biological WMD event, including BioWatch sensor reports for those jurisdictions which have
this capability. This report should also provide detailed documentation citing examples
supporting the statement that your MMRS has achieved an operational response capability to
a chemical, biological, radiological, nuclear and high explosive WMD event(s).

Specifically, this report should include:

3.01 D Examples offull-scale exercises, tabletop exercises or actual response activities
(HazMat incidents, surge care/mass casualty events} that demonstrate an

6
integrated MMRS planning component operational capability. The Sustainment Plan (Deliverable 2)
should support the continued assessment of this operational capability.

Deliverable # 4: MMRS Expansion Efforts (Optional)

To cpmplete saw #4. DHS requests that you document the contract funding that is available to
support operational area expansion of current MMRS jurisdictions incorporating additional,
contiguous jurisdictions within their MMRS plannin!:1, preparedness and response geographical
area and for WMD planning, preparedness and response initiatves with State/regional
governments/organizations. This ..regional. approach is a hallmark of the MMRS Program and
achieves efficiency and economy by providing protedion for a greater at-risk population. and by
incorporating more highly trained response personnel (e.g.. hospitals. etc.} and special-purpose
resources (e.g.. pharmaceuticals. equipme~ etc.). Some States have already achieved. or are
initiating efforts to achieve, State-wide/MMRS planning and preparedness. To complete this
deliverable, the documentation for MMRS area expansion efforts should include:

4.01 D Name(s) of new jurisdictions to be incorporated in MMRS planning and preparedness.

4.02 D Name, title, and contact information (e.g., daytime telephone number. mailing
address and email address. etc.) for a point-of-contact by each added jurisdiction.

4.03 D A statement from both the existing MMRS jurisdiction and the new Mpartnering.
jurisdiction(s) that they are both committed" to achieving this expanded MMRS planning and
preparedness area.

4.04 D A statement detailing the assistance to be provided by the e.xjsting MMRS jurisdiction to the
.partnering" MMRS jurisdiction(s) and the assistance to be provided by the IIparb1eringJl jurisdiction
(e.g., the resources each jurisdiction will commit, to include, but not be limited to first responser units,
medical treatment facilities, emergency management/emergency operation center support, qualified
specialists, planning and preparedness development and maintenance, joint training/exercises,
etc.).

4.05 D A statement that mutual ajd/mutual assistance agreements exist, or that they will be
developed, to provide for first responder and medical treatment personnel reciprocity and
liability protection.

4.06 D A statement that plans, policies, and procedures of the expanded operational area will
be compatible with the Department of Homeland Security National Incident Management
System. .

7
4.06 D A two-year estimate of MMRS program costs for (a) the parent jurisdiction and (b) the
new -partnering"jurisdiction(s) for achieving WMD operational capabilities in the designated
expanded MMRS planning and preparedness area.

If discussing MMRS existing jurisdictional expansion and State cap~bility enhancement, this
deliverable should include:

4.07 D Name(s) of new State jurisdiction(s) and State organizations to be incorporated in
MMRS planning and preparedness. .

4.08 D Name title, and contact information (e.g., daytime telephone number, mailing address
and emaii address, etc.) for a point-of-contact by each added State Jurisdiction and State
organization.

4.09 D A statement descn'bing the scheduled activities and expected outcomes in the first
year of cooperative engagement

4.10 D .A two-year estimate to include the new Statejurisdiction(s) and State organization( s)
planning and "preparedness.

4.11 D A statement that the plans. policies, and procedures developed will be compatible with
the Department of Homeland Security National Incident Management System.

4.12 D A statement that the State jurisdiction(s) and State organization(s) Will comply with
DeparbTlent of Homeland Security .and other Federal Government guidance regarding
communications interoperabllity, chemical/biological/nuclearlradiological deteCtion and
identification protocols, and other operational capability enhancemem activities..

Note: Duplication of Federal Benefits

Jurisdictions are ~dvised that there Is to be no duplication of Federal benefits in executing these
MMRS contracts. No other Federal funding, from the Department of Homeland Security. or any other
Federal executive branch entity. may be used to pay for the same services and commodities paid for
under this contract.

8
Recipient:
City of Orlando: FErn#

Mayor or Mayor/Pro Tern:

A TTEST:

~
Jose Fernandez, City Clerk


Approved as to form and legality for the use and reliance of the City of Orlando, Florida, only.

2003

-
Chief Asst. City Attorney
Orlando, Florida


STATE OF FLORIDA COUNTY OF ORANGE

Personally appeared before me, the undersigned authority , and Jose Femandez, well known to me and known by
me to be the Mayor/Pro Tern and City Clerk, respectively, of the CITY OF ORLANDO, and acknowledged before
me that they executed the foregoing instrument on behalf of the CITY OF ORLANDO, as its true act and deed,
and that they were duly authorized so to do.

~

Witnessed my hand and official seal this day of 2003.

Notary Public

My Commission Expires:

State of Florida -Department of Community Affairs

By:

w. Craig Fugate, Director
Division of Emergency Management

Date:

								
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